LUKEDORF NPI 1457897548

NPI Information

NPI: 1457897548
Provider Name: LUKEDORF
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 38D2037749

Address:
8915 SW CENTER ST
TIGARD, OR
ZIP 97223
Phone: (503) 726-3690
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LUKEDORF is a community health clinic center in Tigard, OR. LUKEDORF NPI is 1457897548. The provider is registered as an organization entity type.

The provider's business location address is:

8915 SW CENTER ST
TIGARD, OR
ZIP 97223-307
Phone: (503) 726-3690
Fax: (503) 726-3691

The provider's authorized official is Toby Cowell .
The authorized official title is Hr and has the following contact phone number (503) 726-3690.

The CLIA number assigned to this NPI record is 38D2037749 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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